DOCUMENT MASTERLIST

Location for
Hospital Revi Date of
Document Title Originator Documents with
Code sion Issue
E-copies
I. Internally Generated Documents

Quality Manual
DOH-NCRO- Organizational Profile and Job
N/A 5 18 June 2018
RLED-OP-01 Description RLED
ISO Documents
QOP_DORLE RLED RLED-DBASE-PC
Quality Objectives and Plans 2018 1 Aug 1, 2018
D
QOPM_DORL Quality Objectives and Plans Monitoring RLED RLED-DBASE-PC
0 May 30, 2018
ED_01 Quarter 1
QOPM_DORL Quality Objectives and Plans Monitoring RLED RLED-DBASE-PC
0 Jul 24, 2018
ED_02 Quarter 2
Quality Procedures
QMS/ISO
DOH-QP-04- Overall
Request for Action Form DOH iQMS 2 18 May 2012
Form1 Core Team
Head
DOH- NCRO-
RLED- RLED Database HOHF RLED RLED-DBASE-PC 0 24 June 2016
DBASE-01
DOH- NCRO-
RLED-DBASE Clinical Laboratory Database RLED RLED-DBASE-PC 0 24 June 2016
-02
DOH- NCRO-
RLED-DBASE Dental Laboratory Database RLED RLED-DBASE-PC 0 24 June 2016
-03
Quality Core Procedures
DOH-I-LTO- Assessment Tool for Licensing an HFSRB NCRO website
2 5 Aug 2016
AT Infirmary
DOH-HOS- Assessment Tool for Licensing a Level 1 HFSRB NCRO website
0 9 Aug 2016
LTO-AT-L1 Hospital
DOH-BH-LTO- Assessment Tool for Licensing a Birthing HFSRB
NCRO website 2 12 Jan 2016
AT Home
DOH-CLG- Assessment Tool for Licensing a HFSRB
NCRO website 3 7 Jan 2016
LTO-AT General Clinical Laboratory
HIV Testing Laboratory Petition Form HFSRB HFSRB Website 0 2005
Form QWP-
Application Form for a License to
CDRRHR-4- FDA FDA website 1
Operate a Medical X-Ray Facility
01-Annex-2.1
Form QWP-
Application Form for a License to
CDRRHR-4- FDA FDA website 1
Operate a Dental X-Ray Facility
01-Annex-2.2
Form QWP-
Affidavit of Continuous Compliance
CDRRHR-4- FDA FDA website 1
Form
02-Annex-6

DOH-QP-01-Form1 Rev.1
 DOCUMENT MASTERLIST

Location for
Hospital Revi Date of
Document Title Originator Documents with
Code sion Issue
E-copies
Form QWP- Radiation Protection Survey and
CDRRHR-4- Evaluation (RPSE) Checklist (General FDA FDA website 1
04-Annex-2.1 Radiography Facility)
Form QWP- Radiation Protection Survey and
CDRRHR-4- Evaluation (RPSE) Checklist (Computed FDA FDA website 1
04-Annex-2.2 Tomography Facility)
Form QWP- Radiation Protection Survey and
CDRRHR-4- Evaluation (RPSE) Checklist FDA FDA website 1
04-Annex-2.3 (Mammography Facility)
Form QWP- Radiation Protection Survey and
CDRRHR-4- Evaluation (RPSE) Checklist (Dental X- FDA FDA website 1
04-Annex-2.4 Ray Facility)
Form QWP-
CDRRHR-4- Radiation Protection Survey Form FDA FDA website 2
04-Annex-3
DOH-DL-LTO- Assessment Tool for Licensing a Dental
NCRO NCRO website 2 13 Apr 2015
AT Laboratory
DOH-HOS- Assessment Tool for Licensing a
NCRO NCRO website 1 12 Nov 2014
LTO-AT Hospital
Form OP 04
(NHB-OTHER RLED Order of Payment Form RLED RLED-Frontpc1 4 8 June 2016
HF)
DOH-I-LTO- Assessment Tool for Licensing an
NCRO NCRO website 0 12 Nov 2014
AT Infirmary
DOH-SOP-01 Licensing Process HFSRB DOH iQMS 1 12 Nov. 2014
Form-HF-
Application for License to Operate HFSRB HFSRB Website 0 06 June 2013
LTO-A
CON
Application Form for Certificate of Need
Application HFSRB HFSRB Website 0 May 2006
for General Hospital
Form
Form-GCL- Application for License to Operate a
HFSRB HFSRB Website 0 2007
LTO-AF-2007 General Clinical Laboratory
Form-DL-LTO- Application for License to Operate a
HFSRB HFSRB Website 0 16 June 2008
A Dental Laboratory
Application for Accreditation of
Form-LDWA-
Laboratory for Drinking Water Analysis HFSRB HFSRB Website 0 21 Mar 2011
COA-A
Laboratory
HF Geo Form Health Facility Geographic Form HFSRB HFSRB Website 1 18 Mar 2014
Application For Authority To Operate A
Form BSF- Blood Collecting Unit (BCU)/ Blood
HFSRB HFSRB Website 0 2 June 2008
ATO-AF-2008 Station (BS)

Form-PTC-A Application for Permit to Construct a

HFSRB HFSRB Website 1 23 June 2014
Health Facility Form
HOS-Stat
Annual Hospital Statistical Report Form HFSRB HFSRB Website 2 22 Jan 2014
Report Form
Other Health Facilities Statistical Report
Statform2 HFSRB HFSRB Website 0 Not indicated
Form

DOH-QP-01-Form1 Rev.1
 DOCUMENT MASTERLIST

Location for
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Document Title Originator Documents with
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E-copies
Inspection Tool For Authority To Operate
BS-ATO-IT HFSRB HFSRB Website 0 27 Mar 2008
(ATO) A Blood Station
CON Evaluation Tool
Evaluation Certificate Of Need For General HFSRB HFSRB Website 0 May 2006
Form Hospitals
Form HOS-
Summary of Evaluation Form HFSRB HFSRB Website 0 2007
LTO-SE-2007
Summary Of Evaluation For Licensing Of
DL-LTO-SOE HFSRB HFSRB Website 0 8 July 2008
Dental Laboratory Form
DOH-SOP-02 Monitoring Process HFSRB DOH iQMS 1 12 Nov. 2014
DOH-
SOP02/03- Notice of Violation Form HFSRB DOH iQMS 1 12 Nov 2014
Form1
Form HOS-
Summary of Monitoring Form HFSRB HFSRB Website 0 2007
LTO-SE-2007
Form APC- Inspection Tool for the Licensing of HFSRB HFSRB Website 0 2007
LTO-IT-2007 Acute-Chronic Psychiatric Care Facility
Form CPC- Inspection Tool for the Licensing of
HFSRB HFSRB Website 0 2007
LTO-IT-2007 Custodial Psychiatric Care Facility
DOH-HDC- Assessment Tool for Licensing a Dialysis HFSRB HFSRB Website 3 13 Apr 2015
LTO-AT Clinic
DOH-SOP-03 Surveillance Process HFSRB DOH iQMS 0 12 Nov. 2014
DOH-SOP03- Quarterly Surveillance Tracking of
HFSRB DOH iQMS 0 12 Nov 2014
Form2 Unlicensed Health Facilities Form
DOH-SOP-04 Handling of Complaints HFSRB DOH iQMS 1 12 Nov. 2014
DOH-SOP04-
Complaint Form HFSRB DOH iQMS 1 12 Nov. 2014
Form1
DOH-SOP04-
Log Sheet of Complaints Form HFSRB DOH iQMS 1 12 Nov. 2014
Form2
DOH-SOP-05 Licensing of Establishments HFSRB DOH iQMS 0 17 Nov. 2014

DOH-SOP-06 Post-Marketing Surveillance HFSRB DOH iQMS 0 17 Nov. 2014

Technical Assistance on Referred
DOH-SOP-07 HFSRB DOH iQMS 0 17 Nov. 2014
Consumer-Related Complaints
List of References

Hospital & Other Health Facilities

Department Cut-off Dates for Receipt of Application
Circular No. for License to Operate (LTO), Certificate HFSRB DOH Intranet 0 1 Dec 2017
2017-0361 of Accreditation (COA) and Permit to
Construct of Health Facilities

DOH-QP-01-Form1 Rev.1
 DOCUMENT MASTERLIST

Location for
Hospital Revi Date of
Document Title Originator Documents with
Code sion Issue
E-copies
Department Clarification to the Moratorium Period for
Circular No. Compliance to the Licensing HFSRB DOH Intranet 0 6 Feb 2017
2017-0049 Requirements for Hospitals and
Infirmaries
Department Validity of Renewal of License to
Circular No. Operate of Hospitals, Infirmaries and HFSRB DOH Intranet 0 6 Feb 2017
2017-0047 Birthing Homes
Department Clarification to the Moratorium Period for
Circular No. Compliance to the Licensing HFSRB DOH Intranet 0 20 Jan 2017
2017-0015 Requirements for Birthing Home
AO 2012- Amendment o Section XIII. Transitory
0012-B Provisions of Administrative Order (A.O.)
No 2012-0012-A “Amendment to AO
2012-0012 entitled “Rules and HFSRB DOH Intranet 0 16 Jan 2017
Regulations Governing the New
Classification of Hospitals & Other
Health Facilities”
Department Designation of Lead Blood Services
Memorandum Facilities HFSRB DOH Intranet 0 28 Dec 2016
2016-0451
Department
Circular No. 2016 ICD010 Updates HFSRB DOH Intranet 0 20 Dec 2016
2016-0363
Department Extension of Moratorium Period for
Circular No. Compliance to the Licensing HFSRB DOH Intranet 0 20 Dec 2016
2016-0362 Requirements for birthing Home
Department Extension of Moratorium Period for
Circular No. Compliance for All Ambulance and HFSRB DOH Intranet 0 16 Dec 2016
2016-0357 Ambulance Service Providers
Department Interim Guidelines On Reducing The
Memorandum Risk of Zika Virus Transmission Through HFSRB DOH Intranet 0 14 Dec 2016
2016-0453 Blood Transfusion
AO 2016-0042 Guidelines in the Application for
Department of Health Permit to HFSRB DOH Intranet 0 14 Dec 2016
Construct (DOH-PTC)
Department Guidelines on the Issuance of Certificate
Memorandum of Inclusion to Blood Services Network HFSRB DOH Intranet 0 04 Dec 2016
2016-0448
Department Additional Clarification on the
Circular No. Requirement of a License to Operate
2015-0392 (LTO) a Birthing Facility Pursuant to
A.O. 2012-0012 known as “Rules and HFSRB DOH Intranet 0 12 Nov 2015
Regulations Governing the New
Classification of Hospitals and Other
Health Facilities in the Philippines”
AO 2015-0017 Guidelines on the Use of National
Database of Human Resources for HFSRB DOH Intranet 0 6 May 2015
Health Information System (NDHRHIS)
AO 2012- Amendment to AO 2012-0012 entitled
0012-A “Rules and Regulations Governing the HFSRB DOH Intranet 0 3 Sep 2015
New Classification of Hospitals & Other
DOH-QP-01-Form1 Rev.1
 DOCUMENT MASTERLIST

Location for
Hospital Revi Date of
Document Title Originator Documents with
Code sion Issue
E-copies
Health Facilities”

Department Guidelines for Allowing 12 Hours Duty

Circular No. for Nurses in Hospitals HFSRB DOH Intranet 0 12 Dec 2013
2013-0423
AO 2012-0012 Rules and Regulations Governing the
New Classification of Hospitals & Other HFSRB DOH Intranet 0 18 Jul 2012
Health Facilities
AO No. 2011- Streamlining of Licensure and HFSRB DOH Intranet 0 23 Dec 2011
0020 Accreditation of Hospitals
AO No. 2007- Harmonization and Streamlining of the HFSRB DOH Intranet 0 6 Jun 2007
0021 Licensure System for Hospitals
AO No. 2007- Violations Under the One-Stop-Shop HFSRB DOH Intranet 0 6 Jun 2007
0022 Licensure Systems for Hospitals
AO No. 2007- Schedule of Fees for the One-Stop-Shop HFSRB DOH Intranet 0 6 Jun 2007
0023 Licensure Systems for Hospitals
AO No. 2007- Guidelines for the Licensure of HFSRB DOH Intranet 0 6 Jun 2007
0024 Department of Health Hospitals
AO No. 2010- Recentralization of the Issuances of HFSRB DOH Intranet 0 14 Dec 2010
0035 Permit to Construct (PTC) for all Levels
of Hospitals, License to Operate (LTO)
for All New Hospitals and Renewal of
LTO for Levels Three (3) and Four (4)
Hospitals
AO No. 2011- Streamlining of Licensure and HFSRB DOH Intranet 0 23 Dec 2011
0020 Accreditation of Hospitals
AO No. 2008 - Posting of Schedule of Fees for HFSRB DOH Intranet 0 15 Jan 2008
0002 Laboratory and Other Diagnostic
Services of Hospitals and Other Health
Facilities
Department Reiterating the Posting of Fees for HFSRB DOH Intranet 0 4 Nov 2008
Memorandum Laboratory and Other Diagnostic
No. 2008 - Services of Hospitals and Other Health
0253 Facilities
Department Permits Issued by Other National HFSRB DOH Intranet 0 13 July 2007
Memorandum Government Agencies and by Local
No. 2007- Government Units
0099
AO No. 21 s. Gradual Phase-out of Mercury in all HFSRB DOH Intranet 0 30 July 2008
2008 Health Care Facilities and Institution
Department A Survey of Services and Equipment HFSRB DOH Intranet 0 25 April 2011
Memorandum Available in Hospitals Nationwide
No. 135 s.
2011
AO No. 5-B s. Implementing Rules and Regulations of HFSRB DOH Intranet 0 18 Feb 1998
1998 RA 8344, otherwise known as “An Act
Penalizing the Refusal of Hospitals and
Medical Clinics to Administer
Appropriate Initial Medical Treatment
and Support in emergency or serious
DOH-QP-01-Form1 Rev.1
 DOCUMENT MASTERLIST

Location for
Hospital Revi Date of
Document Title Originator Documents with
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Cases, Amending for the Purpose of
Batas Pambansa Bilang 702, Otherwise
known as an act Prohibiting the Demand
of deposits or Advance Payments for the
Confinement or Treatment of patients in
Hospitals and Medical Clinics in Certain
Cases.”
AO No. 2008 - Implementing Rules and Regulations of HFSRB DOH Intranet 0 7 Jan 2008
0001 RA No. 9439, otherwise known as “An
Act Prohibiting the Detention of Patients
AO No. 2007- Guidelines on the Mandatory Allocation HFSRB DOH Intranet 0 7 Nov 2007
0041 of a Certain Percentage of the
Authorized Bed Capacity as Charity
Beds in Private Hospitals
AO No. 51-A Implementing Guidelines on HFSRB DOH Intranet 0 12 Oct2001
s. 2000 Classification of Patients and on
Availment on Medical Social services in
Government Hospitals
AO No. 20 s. Interim Guidelines for the Disposal of HFSRB DOH Intranet 0 22 Oct 2009
2009 Health/Medical Records of Private
Healthcare Facilities Damaged by the
Typhoon
AO No. 47 s. Amendment on Medical Records HFSRB DOH Intranet 0 5 May 2000
2000 Services in All Categories of Hospitals
(Guidelines for the Implementation of
International Classification of Diseases
Version 10 (ICD-10) for Hospital
Licensing
Department Handbook on Philippine ICD-10 HFSRB DOH Intranet 0 2 April 2009
Circular No. Modification
2009-0089
AO No. 2006 - Guidelines for the Issuance of Certificate HFSRB DOH Intranet 0 13 Mar 2006
0004 of Need to Establish a New General
Hospital
AO No. 2006 - Amendment to AO 4 s. 2006: Guidelines HFSRB DOH Intranet 0 15 Jan 2007
0004-A for the Issuance of Certificate of Need to
Establish a New General Hospital
AO No. 2006 - Amendment to Certain Provisions of AO HFSRB DOH Intranet 0 18 Nov 2008
0004-B 4-A s. 2006 on the Guidelines for the
Issuance of Certificate of Need to
Establish a New General Hospital

AO No. 2006 - Amendment to Administrative Order No. HFSRB DOH Intranet 0 18 Nov 2008
0004-C 2006-0001-C, as amended, hereby
requiring only Certificate of Need (CON)
to new government hospitals and
providing additional requirements for
general hospitals.

DOH-QP-01-Form1 Rev.1
 DOCUMENT MASTERLIST

Location for
Hospital Revi Date of
Document Title Originator Documents with
Code sion Issue
E-copies
AO No. 2012- New Rules and Regulations Governing HFSRB DOH Intranet 0 26 Jan 2012
0001 the Licensure and Regulation of Dialysis
Facilities in the Philippines

Administrative Addendum to the Rules and Regulations HFSRB DOH Intranet 0 8 Aug 2008
Order No. Implementing Republic Act No. 9288,
2008 - 0026 otherwise known as the “Newborn
Screening Act of 2004”
Administrative Amendment to the AO No. 26 s. 2008 on HFSRB DOH Intranet 0 8 Aug 2008
Order No. Addendum to the rules and Regulations
2008 - 0026-A Implementing RA No. 9288, otherwise
known as the “Newborn Screening Act of
2004”
Department Reiterating the Provision of Newborn HFSRB DOH Intranet 0 1 Feb 2008
Memorandum Screening Services as a Mandatory
No. 2008 - Licensing Requirement for all Hospital
0020
Department Newborn Screening Coverage HFSRB DOH Intranet 0 12 June 2008
Memorandum
No. 2008 -
0123
Department The Revised Disposition, Schedule of HFSRB DOH Intranet 0 8 May1996
Circular 70 s. Medical Records amending ministry
1996 Circular 77 s. 1981
Memorandum National Archives of the Philippines HFSRB DOH Intranet 0 12 Aug 2009
Circular No. General Circular No. 1 entitled “Rules
42 s. 2009 and Regulations governing the
Management of Public Records and
Archives Administration” dated January
20, 2009

Blood Service Facilities

AO No. 101-A Rules and Regulations Governing HFSRB DOH Intranet 0 14 Oct 2003
s. 2003 Authorization of Blood Collection Unit
and Blood Station
AO No. 2008- Rules and Regulations Governing the HFSRB DOH Intranet 0 2 May 2008
0008 Regulation of Blood Service Facilities
AO No. 2005- Rules and Regulations for the HFSRB DOH Intranet 0 10 Jan2005
0002 establishment of the Philippine National
Blood Services Amending Pertinent
Provision of AO No. 9 s. 1995 (Rules
and Regulation Implementing RA 7719
Otherwise Known as the National Blood
Services Act of 1994)
Department Implementation of the Closure of HFSRB DOH Intranet 0 31 Aug 2006
Memorandum Commercial Blood Banks Pursuant to
No. 2006- Supreme Court Ruling
0138

Clinical Laboratories
DOH-QP-01-Form1 Rev.1
 DOCUMENT MASTERLIST

Location for
Hospital Revi Date of
Document Title Originator Documents with
Code sion Issue
E-copies
Department Amendment to Department HFSRB DOH Intranet 0 8 Sep 2014
Memorandum Memorandum No. 2009-0086-A Entitled
No. 2009-086- “Implementation of External Quality
B Assessment Program as Regulatory
Requirement for Licensing of Clinical
Laboratories”
AO No. 2007- Revised Rules and Regulations HFSRB DOH Intranet 0 22 Aug 2007
0027 Governing The Licensure and
Regulation of Clinical Laboratories in the
Philippines
AO No. 48 s. Classification of Clinical Laboratories HFSRB DOH Intranet 0 23 May 2003
2003 Based on Institutional Character
Bureau Moratorium on the Issuance of Permit to HFSRB DOH Intranet 0 13 May 2003
Circular No. 3 Construct and License to Operate free
s. 2003 standing Clinical Laboratories
nationwide
Department Designation of National Reference HFSRB DOH Intranet 0 14 Nov 2000
Order no. 393- Laboratories and Transfer of
E s. 2000 corresponding equipment, instruments,
supplies, specimens, records from the
Bureau of Research and Laboratories to
the Designated National Reference
Laboratories.
AO No. 78 s. Amendment to Administrative Order No. HFSRB DOH Intranet 0 7 Feb 2002
2002 7-C s. 2001 Section A 1, 1.1,2.1
(Decentralization of some regulatory
functions of the Bureau of Health
Facilities and Services on Clinical
Laboratories and HIV Testing
Laboratories to the Center for Health
Development in the Transition Phase)
Department Creation of a Coordinating Committee HFSRB DOH Intranet 0 13 Sep 2004
Order No. for the National Health Laboratory
1763 s. 2004 Network
Department Implementation of External Quality HFSRB DOH Intranet 0 3 Feb 2009
Memorandum Assessment Program as a regulatory
No. 2009- requirement for licensing of Clinical
0086 Laboratories
AO No. 2005- Rules and Regulations Governing the HFSRB DOH Intranet 0 15 Aug 2005
0027 Regulation of HIV Testing Laboratories
Department Permits issued by other National HFSRB DOH Intranet 0 13 July 2007
Memorandum Government Agencies and by Local
No. 2007- Government Units
0099
Department Reiterating the Posting of Schedule of HFSRB DOH Intranet 0 4 Nov 2008
Memorandum Fees for Laboratory and other diagnostic
No. 2008- services of hospitals and other regulated
0253 health facilities as a mandatory
requirement for Licensing or
Accreditation

DOH-QP-01-Form1 Rev.1
 DOCUMENT MASTERLIST

Location for
Hospital Revi Date of
Document Title Originator Documents with
Code sion Issue
E-copies
AO No. 2005- Amendment to AO No. 2005-0027 HFSRB DOH Intranet 0 28 Aug 2008
0027 A “Rules and Regulations Governing the
Regulation of HIV Testing Laboratories.”
AO No. 2009- Interim Guidelines for the Disposal of HFSRB DOH Intranet 0 22 Oct 2009
0020 Health/Medical records of Private Health
Care Facilities damaged by the typhoon
AO No. 59 s. Rules and Regulations Governing the HFSRB DOH Intranet 0 19 Nov 2001
2001 Establishment, Operation and
Maintenance of Clinical Laboratories in
the Philippines
Bureau Clarification of AO 59 s. 2001, Section HFSRB DOH Intranet 0 12 Apr 2006
Circular No. 1 7.8 (issuance f License)
s. 2006

Dental Laboratories
AO No. 117-B Revised Rules and Regulations HFSRB DOH Intranet 0 17 Feb1992
s. 1992 Governing the Registration, Licensure of
Dental Prosthetic Laboratories in the
Philippines
AO No. 51 s. Decentralization of Dental Prosthetic HFSRB DOH Intranet 0 25 Sep 2001
2001 Laboratories Licensing Functions of the
Bureau of Health Facilities and Services
to the Center for Health Development-
NCR
AO No. 28 s. Revised Rules and Regulations HFSRB DOH Intranet 0 14 Mar 2003
2003 Governing the Registration. Licensure of
Dental Laboratories in the Philippines
AO No. 105 s. Revised Rules and Regulations HFSRB DOH Intranet 0 22 Oct 2003
2003 Governing the Registration. Licensure of
Dental Laboratories in the Philippines
AO No. 2008- Revised Schedule of Fees for the HFSRB DOH Intranet 0 28 Jun 2008
0019 Registration and Licensure of Dental
Laboratories in the Philippines

Department Authorizing the Bureau of Licensing and HFSRB DOH Intranet 0 10 May 1988
Circular No. Regulation to take over the function to
79 s. 1988 register and issue licenses to Dental
Prosthetic Laboratories
AO No. 2008- Revised Rules and Regulations HFSRB DOH Intranet 0 7 May 2008
0010 Governing the Registration. Licensure of
Dental Laboratories in the Philippines

Water Laboratories
AO No. 2006- Rules and Regulation Governing the HFSRB DOH Intranet 0 10 May 2006
0024 Accreditation of Laboratories for Drinking
Water Analysis

EDPMS
Administrative Implementing Guideline on Electronic BFAD/FDA DOH Intranet 0 6 Sep 2011
Order No. Drug Price Monitoring System (EDPMS)
DOH-QP-01-Form1 Rev.1
 DOCUMENT MASTERLIST

Location for
Hospital Revi Date of
Document Title Originator Documents with
Code sion Issue
E-copies
2011-0012 version 2.0

Department Uploading of DATA for Electronic Drug BFAD/FDA DOH Intranet 0 23 Sep 2011
Circular No Price Monitoring System (EDPMS)
2011-0255 version 2.0

HIV Testing Laboratories

Administrative Rules and Regulations Governing the HFSRB DOH Intranet 0 15 Aug 2005
Order No. Regulation of HIV Testing Laboratories
2005-0027
Administrative Amendment to Administrative Order No. HFSRB DOH Intranet 0 28 Aug 2008
Order No. 2005-0027 “Rules and Regulations
2005-0027-A Governing the Regulation of HIV Testing
Laboratories”

IDTOMIS
Administrative Guidelines on the Implementation of the HFSRB DOH Intranet 0 29 Jul 2008
Order No. Integrated Drug Test Operations and
2008-0025 Management Information System
(IDTOMIS) for screening and
confirmatory Drug Test Operations

X-Ray
Department Guidelines on receiving, evaluating, 0 3 Dec 2015
Order 2015- processing of application documents,
0263 inspection, and issuance/renewal of a
FDA FDA website
License to Operate an X-ray Facility at
the Department of Health and Food and
Drug Administration Regional Offices
AO 124 s. Rules and Regulations Governing the BHDT DOH Intranet 0 1 June 1992
1992 Establishment, Operation and
Maintenance of an X-ray Facility in the
Philippines
AO 35 s. 1994 Requirements for the Control of BHDT DOH Intranet 0 5 Aug 1994
Radiation Hazards from Clinical
Diagnostic X-ray Facilities
AO 2-A s. Requirements for the Control of BHDT DOH Intranet 0 30 Jan 1996
1996 Radiation Hazards from Dental X-ray
Facilities
AO 40 s. 1996 Requirements for the Control of BHDT DOH Intranet 0 6 Dec 1996
Radiation Hazards from Industrial and
Anti-crime X-ray Facilities
AO 41 s. 1996 Requirements for the Control of BHDT DOH Intranet 0 6 Dec 1996
Radiation Hazards from X-ray Facilities
used in Veterinary Medicine
AO 149 s. Basic Standards on Radiation Protection BHDT DOH Intranet 0 4 May 2004
2004 and Safety Governing the Authorization
for the Introduction and Conduct of
Practices Involving X-ray Sources in the
Philippines

DOH-QP-01-Form1 Rev.1
 DOCUMENT MASTERLIST

Location for
Hospital Revi Date of
Document Title Originator Documents with
Code sion Issue
E-copies
AO 164 s. Amendment to Administrative Order No. BHDT DOH Intranet 0 12 Aug 2004
2004 149 s. 2004 dated May 4, 2004
Department Manual on Basic Radiation Protection BHDT DOH Intranet 0 29 Sep 2004
Circular 323 s. and Safety of X-ray Sources in the
2004 Philippines
Bureau Order Performance Testing of All Newly BHDT DOH Intranet 0 14 Aug 2002
No. 220 s. Installed Computerized Tomographic
2002 and Mammographic Units as
Requirement for Issuance of License to
Operate
Bureau Order Requirements for Personnel Involved in BHDT DOH Intranet 0 20 July 2005
No. 011 s. the Practice of Radiotherapy Utilizing
2005 Medical Linear Accelerators and
Kilovoltage Radiotherapy X-ray
Machines in the Republic of the
Philippines

Issuance of Yellow Prescription Pads

Administrative Revised Guidelines on the Distribution BFAD/FDA DOH Intranet 0 6 Feb 2012
Order No. and Sale of Yellow Prescription Pads
2012-0002

Manuals/Books
Hospital Nursing Service Administration NCHFD none 0 2008
Manual
Manual of Standards on Quality NCHFD none 0 2008
Management System in the Clinical
Laboratory
Health Care Waste Management Manual NCHFD none 0 2008

Manuals of Standards and Guidelines on NCHFD none 0 2008

the Management of Hospital Emergency
Department
Philippine ICD-10 Modification DOH none 0 2008

Hospital Nutrition & Dietetics Service NCHFD none 0 2008

Management Manual
Hospital Pharmacy Management Manual NCHFD none 0 2008

National Standards in Infection Control NCHFD none 0 2009

for Healthcare Facilities

II. Externally Generated Documents

Hospitals
Otherwise known as “Hospital Licensure Congress DOH Intranet 0 1 June 1965
Republic Act
Act of 1965” of the
No. 4226
Philippines

DOH-QP-01-Form1 Rev.1
 DOCUMENT MASTERLIST

Location for
Hospital Revi Date of
Document Title Originator Documents with
Code sion Issue
E-copies
An Act Penalizing the Refusal of Congress DOH Intranet 0 18 Feb 1998
Hospitals and Medical Clinics to of the
Republic Act
Administer Appropriate Initial Medical Philippines
No. 8344
Treatment and Support in Emergency or
Serious Cases
An Act Prohibiting the Detention of Congress DOH Intranet 0 27 April 2007
Republic Act
Patients in Hospitals and Medical Clinics of the
No. 9439
on Grounds of Nonpayment of Hospital Philippines
Bills or Medical Expenses”
Republic Act Otherwise known as “Newborn Congress DOH Intranet 0 7 April 2004
No. 9288 Screening Act of 2004” of the
Philippines
An Act to Regulate Fees to be Charged Congress DOH Intranet 0 18 June1952
Republic Act Against Patients in Government and of the
No. 747 Charity Clinics Classifying Patients Philippines
According to their Financial Condition
Otherwise known as “The Rooming-in Congress DOH Intranet 0 2 June 1992
Republic Act
and Breastfeeding Act of 1992 of the
No. 7600
Philippines
An Act Expanding the Promotion of Congress DOH Intranet 0 16 Mar 2010
Breastfeeding, Amending for the of the
Purpose Republic Act No. 7600, Philippines
Republic Act
Otherwise Known as “An Act Providing
No. 10028
Incentives to All Government and Private
Health Institutions with Rooming – In
and Breastfeeding Practices and For
Other Purposes
An act to improve efficiency
Congr
in the DOH Intranet 0 2 June 2007
delivery of government service
ess of to the
public by reducing bureaucratic
the red tape,
Republic Act
preventing graft and corruption,
Philipp and
No. 9485
providing penalties therefore
ines, also
known as the “Anti Red Tape Act of
2007”

Anti Red Tape Act of 2007 Civil DOH Intranet 0 24 July 2008
IRR on
Service
Republic Act
Commissio
No. 9485
n

Clinical Laboratories
An Act Regulating the Operation and Congress DOH Intranet 0 18 June 1966
Maintenance of Clinical Laboratories and of the
Republic Act
Requiring the Registration of the Same Philippines
4688 s. 1966
with the Department of Health, Providing
Penalty for the Violation Thereof, and for
Other Purposes

Blood Service Facilities

DOH-QP-01-Form1 Rev.1
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Hospital Revi Date of
Document Title Originator Documents with
Code sion Issue
E-copies
Republic Act National Blood Services Act of 1994 Congress DOH Intranet 0 5 May 1994
7719 of the
Philippines
Republic Act An Act Regulating the Collection, Congress DOH Intranet 0 16 June 1956
1517 Processing and Sale of Human Blood of the
and the Establishment and Operation of Philippines
Blood Banks and Blood Processing
Laboratories

Dental Laboratories
Executive Redirected Functions and Operations of DOH Intranet 0 24 May1999
Order No. 102 the Department Of Health Office of
the
President
Presidential Providing for the Registration and DOH Intranet 0 11 June 1978
Decree No. Licensing of Dental Prosthetic Office of
1542 Laboratory the
President
DOH Intranet 0
Water Laboratories
Republic Act The Philippine Clean Water Act of 2004 Congress DOH Intranet 0 22 Mar 2004
9275 of the
Philippines
Code on Sanitation of the Philippines DOH Intranet 0 23 Dec 1975
Presidential
Office of
Decree 856
the
President

HIV Testing Laboratories

An Act Promulgating Policies and Congress DOH Intranet 0 13 Feb 1998
Prescribing Measures for the Prevention of the
and Control of HIV/AIDS in the Philippines
Republic Act Philippines, Instituting a Nationwide
No. 8504 HIV/AIDS information and Educational
Program, Establishing a Comprehensive
HIV/AIDS Monitoring System,
Strengthening the Philippine national
Aids Council and for other purposes

Hospital Pharmacy
Republic Act An Act to ensure the safety and purity of Congress DOH Intranet 0 22 June 1963
No. 3720 foods, drugs, and cosmetics being made of the
available to the public by creating the Philippines
Food and Drug Administration which
shall administer and enforce laws
pertaining thereto.
Executive Further Amending Republic Act No. Office of DOH Intranet 0 22 May 1987
Order No. 175 3720, entitled “An act to ensure the the
safety and purity of foods, drugs, and President
cosmetics being made available to the
public by creating the food and drug
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administration which shall administer
and enforce the laws pertaining thereto
‘as amended, and for other purposes.
Republic Act An Act regulating the practice of Congress DOH Intranet 0 22 May 1969
No. 5921 pharmacy and setting standards of of the
Pharmaceutical Education in the Philippines
Philippines and of other purposes.
Executive Further Amending Republic Act No. Office of DOH Intranet 0 22 May 1987
Order No. 174 5921, entitled “An Act regulating the the
practice of pharmacy and setting President
standards of Pharmaceutical Education
in the Philippines and of other purposes,
“as amended.
Republic Act An act to maximize the contribution of Congress DOH Intranet 0 7 Feb 1992
No. 7432 Senior Citizens to nation Building, Grant of the
Benefits, and Special Privileges and for Philippines
Other Purposes.
Republic Act An act providing protection to consumers Congress DOH Intranet 0 22 July 1991
No. 7581 by stabilizing the prices of basic of the
necessities and prime commodities and Philippines
by prescribing measures against undue
price increases during emergency
situations and like occasions.
Otherwise known as :”Price Act”
Republic Act Otherwise known as “ Generics Act of Congress DOH Intranet 0 25 Aug 1988
No. 6675 1988” of the
An act to promote, require and ensure Philippines
the production of an adequate supply,
distribution, use and acceptance of
drugs and medicines identified by their
generic names.
Republic Act An act of prohibiting counterfeit drugs, Congress DOH Intranet 0 19 Nov 1996
No. 8302 providing penalties for violations and of the
appropriating funds therefore Philippines
Republic Act An act prohibiting the detention of Congress DOH Intranet 0 19 Feb 2007
No. 9439 patients in hospitals and medical clinics of the
on grounds of nonpayment of hospital Philippines
bills or medical expenses.
Republic Act Instituting the comprehensive Congress DOH Intranet 0 30 May 2002
No. 9165 Dangerous Drugs Act of 2002, repealing of the
Republic Act No. 6425, Otherwise Philippines
known as the Dangerous Drugs Act of
1972, as amended, providing funds
therefore, and for other purposes.
Republic Act An Act granting additional benefits and Congress DOH Intranet 0 23 July 2003
No. 9257 privileges to senior citizens amending for of the
the purpose Republic Act. 7432, Philippines
Otherwise known as “An act to maximize
the contribution of senior citizens to
nation building, grant benefits and
special privileges and for other

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purposes.

Republic Act Otherwise known as the Universally Congress DOH Intranet 0 6 June 2008
No. 9502 Accessible Chapter and Quality of the
Medicines Act of 2008. Philippines
An Act providing for cheaper and quality
medicines, amending for the purpose
Republic Act No. 8293 or the intellectual
property code, Republic Act No. 6675 or
the Generics Act of 1988, and the
Republic Act No. 5921 or the Pharmacy
law, and for other purposes.
Republic Act An act granting additional benefits and Congress DOH Intranet 0 15 Feb 2010
No. 9994 privileges to senior citizens, further of the
amending Republic Act. 7432, Otherwise Philippines
known as “An act to maximize the
contribution of senior citizens to nation
building, grant benefits and special
privileges and for other purposes.
Otherwise known as “Expanded
Senior Citizens Act of 2010”
Executive Adopting a national code of marketing of Office of DOH Intranet 0 26 May 1987
Order No. 51 breast milk substitutes, breast milk the
supplements and related products, President
penalizing violations thereof, and for
other purposes.

IDTOMIS
Republic Act An act of instituting the Comprehensive DOH Intranet 0 23 Jan 2002
9165 Dangerous Drugs Act of 2002, repealing Congress
Republic Act No. 6425, Otherwise of the
known as “Dangerous Drugs Act of Philippines
1972, as amended, providing funds
therefore, and for other purposes.
Republic Act An act providing for the Recognition and DOH Intranet 0 14 June 2000
8792 Use of Electronic Commercial and Non- Congress
Commercial Transactions and of the
Documents, Penalties for Unlawful Use Philippines
thereof and for other Purpose

X-Ray
Presidential Creating a Radiation Health Office in the Office of DOH Intranet 0 6 June 1974
Decree No. Department of Health the
480 President

Presidential Amendment to PD 480 which created Office of DOH Intranet 0 8 May1978

Decree No. the Radiation Health Office of the the
1372 Ministry of Health President

Manuals/Books
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Standards of Nursing Service ANSAP none 0 2008

International Statistical Classification of WHO none 10 1992

Diseases & Related Health Problems

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